The Impact of Video-Based Educational Interventions on Cervical Cancer, Pap Smear and HPV Vaccines
| Autor: | Gloria Selorm Akpabla, Cecilia Amponsem-Boateng, Hafiz Abdul Waqas Ahmed, Emmanuel Kwateng Drokow, Evans Sasu, Kai Sun, Clement Yaw Effah, Clement Agboyibor |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
Health Knowledge
Attitudes Practice medicine.medical_specialty cervical cancer Psychological intervention Uterine Cervical Neoplasms HPV vaccines Ghana 03 medical and health sciences 0302 clinical medicine McNemar's test Statistical significance medicine Humans Health belief model Papillomavirus Vaccines 030212 general & internal medicine human papillomavirus Early Detection of Cancer Original Research Cervical cancer pap smear test Obstetrics business.industry Public Health Environmental and Occupational Health medicine.disease Stratified sampling educational intervention 030220 oncology & carcinogenesis video based Female Health education Public Health Public aspects of medicine RA1-1270 business Papanicolaou Test |
| Zdroj: | Frontiers in Public Health, Vol 9 (2021) Frontiers in Public Health |
| ISSN: | 2296-2565 |
| Popis: | Background: Video-based interventions have the potential to contribute to long-lasting improvements in health-seeking behaviours. Ghana's upsurge rate of information and communication technology usage presents an opportunity to improve the awareness of HPV vaccination and screening rates of cervical cancer among women in Ghana. This research aimed to assess the impact of video-based educational intervention centred on the Health Belief and Transtheoretical Models of behavioural changes in promoting HPV vaccination, cervical carcinoma awareness and willingness to have Pap smear test (PST) among women in Ghana.Methods: To achieve the intended sample size, convenient, purposive and stratified random sampling techniques were used. SPSS v. 23.0 was used in the data analysis. Percentages and frequencies were used to represent participants' demographic characteristics, knowledge of (1) cervical carcinoma, (2) human papillomavirus vaccine, and (3) Pap smear test. The chi-square test by McNemar was employed to evaluate variations in the post- and pre-intervention responses. A p-value < 0.05 was considered statistically significant. The level of significance was adjusted owing to multiple comparisons by using the Bonferroni's correction.Results: Before the intervention, 84.2% of the participant had some knowledge or information about cervical cancer, but after the intervention, 100% of the participant became aware of cervical cancer which represents 15.8% increment at a P < .001. The willingness to have a pap smear test increased from 35.8% to 94.2% (df = 58.4%, P < .001) after the educational intervention. The willingness to be vaccinated increased from 47.5% to 81.7% (df = 34.2%, P < .001) after the educational intervention. Six months after the intervention, participants were followed-up. 253 (42.2%) participants had gone for cervical cancer screening (Pap smear test) while 347 (57.8%) participants had not been screened. In terms of HPV vaccination, 192 participants (32.0%) had begun their HPV vaccination cycle.Conclusion: The study results show that health education, using videos, may be influential in perception changing, self-efficacy improvement and the understanding of cervical carcinoma screening and HPV vaccination. |
| Databáze: | OpenAIRE |
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